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Balcova heart study: rationale and methodology of the Turkish cohort
Gül Ergör1, Ahmet Soysal, Kaan Sözmen
1Department of Public Health, Dokuz Eylul University Medical School, Inciralti, Izmir, Turkey. gul.ergor@deu.edu.tr
Insights
This study assessed cardiovascular disease (CVD) risk factors in Turkey. High rates of smoking, inactivity, and hypertension were found, highlighting the need for targeted prevention strategies.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) is a growing public health concern in Turkey.
- There is a need for current data on CVD risk factors and their impact on mortality within the Turkish population.
Purpose of the Study:
- To investigate the prevalence and trends of CVD risk factors in a Turkish community.
- To assess the impact of these risk factors on mortality.
- To inform the development of targeted CVD prevention strategies.
Main Methods:
- Prospective cohort study (Balcova Heart Study - BHS) involving individuals over 30 years old in Balcova District, Izmir, Turkey.
- Data collection included risk factor assessment, anthropometric measurements, and biochemical analyses.
- Interventions were designed based on 10-year coronary heart disease (CHD) risk and lifestyle characteristics.
Main Results:
- 16,080 participants with a mean age of 52 years.
- High prevalence of current smoking (41.6% in men, 31.1% in women).
- Significant physical inactivity in men (one-third) and high rates of hypertension (25% in men, 33% in women).
Conclusions:
- The Balcova Heart Study is the first community-based cohort study on CVD risk factors in Turkey.
- Findings provide valuable insights into CVD risk assessment.
- The study supports the incorporation of interventions for CVD prevention in the region.
Objectives:
Turkey is facing increasing rates of cardiovascular disease (CVD). The study is designed to meet the growing need to obtain information about the recent status and trends of CVD risk factors and their impact on mortality.
Methods:
Balcova heart study (BHS) is a prospective cohort study, focusing on reducing the CVD risk factors of people over 30 years old living in Balcova District, Izmir, Turkey. Information about risk factors, anthropometric and biochemical measurements was collected in community centers. Interventions were planned, based on the 10-year coronary heart disease (CHD) risk and lifestyle characteristics with the collaboration of university and municipality.
Results:
Mean age of the 16,080 participants was 52 years. The percentage of current smoking was 41.6 in men and 31.1 in women. One-third of the men were physically inactive. Hypertension was reported as 25% in men and 33% in women.
Conclusions:
The project is unique for being the first community-based cohort on CVD risk factors in a Turkish setting. This project will have a valuable contribution on not only determining CVD risks, but also incorporating interventions for prevention.
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